Health financing system experts

Health system leakage caused by fraud and waste has been described by the World Health Organization
as ‘the last great unreduced healthcare cost’.

We are unicorns in this space.
No-one has equivalent experience working in
the engine room of health financing systems.

We understand the inner workings of health financing systems because we have been administering them at the transaction level for decades. We therefore know exactly where the gaps are in the way the world counts, measures, plans, pays, and surveys health services, and proudly bring a level of detail and knowledge to every project, that is unsurpassed.

We assist our clients to gain control, visibility, and transparency of their health transaction environments through our deep understanding of all of the world’s health system codes and classifications such as ICD, CPT, MBS, ACHI, ICHI, SNOMED, LOINC and others. We know which code set to use when and why, and understand how all of the worlds’ clinical terminology products intersect.

We also have decades of collective experience in health informatics and digital health, health data governance, health system regulation, education, and compliance and integrity frameworks.

So, whether your health system operates via fee-for-service, capitation, salary, performance-based models, or a combination of these, our collaborative and strategic approach, led by one of Australia’s leading health regulation experts, can assist you to achieve your health system goals.